Pat Moore Foundation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

300136AN Issued in CA

Legal business name

PAT MOORE FOUNDATION

Practice address

1905 W Hall Ave
Santa Ana, CA 92704-5621

Phone

(714) 546-2200

Fax

(714) 546-2210

NPI assigned

Aug 23, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas P Allen, CAS, CCDC

Title

Executive Director

Phone

(714) 546-2200

Specialties & licenses 1

Addresses

Tax ID family

Pat Moore Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pat Moore Foundation

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1225227994
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477546646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 W HALL AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045621",
            "telephone_number": "714-546-2200",
            "fax_number": "714-546-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W HALL AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045621",
            "telephone_number": "714-546-2200",
            "fax_number": "714-546-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT MOORE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-546-2200",
        "authorized_official_credential": "CAS, CCDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300136AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Saldana Pascual, NP
• Jerimarie Pasiliao
• Yancey Pasillas
• Lisa Lynn Passalacqua, PA-C
• Randi Irene Passero, PA C
• Denise Janet Patarello, RN
• Akta M. Patel, M.D.
• Ankini Ronak Patel
• Denny Ashok Patel, DPT
• Dinesh R Patel

• Substance Abuse Rehabilitation Facility in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.